DeltaCare® USA (DHMO)

DeltaCare USA (DHMO)Click to play Dental Video:Healthy Tip:Preschedule your next dental appointment at the end of your dental visit to maintain routine treatment for yourself and your family the DeltaCare USA program, many services are covered at no cost, while others have copayments (amount you pay your contract dentist) for certain benefits. See the copayments for the covered services on the following pages. >> Benefit Eligibility Note: All M-DCPS groups are eligible to enroll in the DeltaCare USA (DHMO)offered by the School Board. Current COBRA participants may only continue to enroll in DeltaCare USA (DHMO) if you were previously enrolled in vision. See eligibility section for more differences exist between this Summary of Benefits and your Certificate of Coverage/benefits administrator, the certificate/benefits administrator will govern. DeltaCare USA Plans - DHMO Dental PlansDental services that are not performed by your selected in-network participating (contracted) dentist, or are not covered under provisions for emergency care below, must be preauthorized by us to be covered by your DeltaCare USA program is designed to encourage regular visits to the dentist by having no copayments (fees you pay to the contract dentist) on most diagnostic and preventive benefits.

If the facility is not open to new membership, you will have to select another participating provider. How can I receive emergency care within the service area? Under your DeltaCare USA program, you and your eligible dependents are covered for out-of-area dental emergencies (35 or more miles from your contract dentist).

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